The Impact of Myoelectric Orthoses on Upper Extremity Function and Independence in Neurological Rehabilitation: A Systematic Review

Level of Education of Students Involved

Graduate

Faculty Sponsor

Sara Story and Alyssa Formyduval

College

College of Nursing & Health Professions (CONHP)

Discipline(s)

Occupational Therapy, Myoelectric Orthoses, Neurological Rehabilitation

Presentation Type

Poster Presentation

Symposium Date

Spring 4-30-2026

Abstract

Importance: Limited evidence compares conventional occupational therapy to myoelectric orthoses for improving upper limb function in individuals with neurological impairments. This modified systematic review examines whether myoelectric orthoses improve upper extremity function and daily independence for individuals with neurological conditions compared to conventional therapy.

Data Sources: A comprehensive literature search was conducted using the Valparaiso University library system. Electronic databases, including CINAHL and Google Scholar were utilized. Search terms were applied to capture studies related to myoelectric orthoses, neurological conditions, and upper extremity rehabilitation.

Study Selection and Data Collection: Included articles were peer-reviewed, published in English within the past 10 years, and involved participants with a diagnosed neurological condition. Studies also had to examine the use of myoelectric orthosis as an intervention and focus specifically on the upper extremity. Excluded articles were those not published in English within the specified timeframe, not peer-reviewed, lacking participants with neurological conditions, not addressing myoelectric orthoses, or not focusing on the upper extremity.

Findings: Fifteen articles were identified. Myoelectric orthoses improve upper extremity strength, coordination, and task performance, with greater functional gains and engagement when combined with occupational therapy. Orthoses may promote neuroplasticity, though small sample sizes limit findings. Technologies such as virtual reality may further enhance outcomes.

Conclusion: Myoelectric orthoses show promise in enhancing upper extremity function, engagement, and neuroplastic recovery alongside traditional therapy, though larger studies are needed to confirm long-term effectiveness.

Biographical Information about Author(s)

Hala, Ariana, and Brianna are all first-year graduate occupational therapy students at Valparaiso University with a shared interest in hand therapy. 

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